When Valve's zombie shooter Left 4 Dead was originally released in Japan, it was released with edited box art. The iconic hand was too gruesome and needed more flesh.
Left 4 Dead 2 is coming to to Japan November 19 and once again the game's original cover art appears to be altered. Due to cultural issues like yakuza gangsters ceremoniously cutting off fingers to apologize, Japan is sensitive to things like missing fingers.
Japan wasn't the only region in which the cover art for the first Left 4 Dead was changed. The German box display art was censored with paper sleeve insert of an edited hand. The actual box art was the same, however.